Skip to main content
<p>Hallmark Healthcare&rsquo;s Community-based Care Transitions project created the position for transition facilitators who visit at-risk patients in their homes and achieved significant decreases in readmissions.</p>

Home Visits Help Reduce Readmissions for At-risk Medicare Patients

Multidisciplinary team follow patient for 30 days

Hallmark Healthcare’s Community-based Care Transitions project created the position for transition facilitators who visit at-risk patients in their homes and achieved significant decreases in readmissions.